Individual provider · Type 1 NPI

Diane Jackson, LCSW

Clinical Social Worker · Richmond, VA

NPI number 1366729493 Active

Practice location

9416 Creek Summit Cir
Richmond, VA 23235-4277

Fax (804) 819-5221

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X0904007697 (VA)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1366729493

Diane Jackson, LCSW's National Provider Identifier is 1366729493, issued on Nov 3, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Richmond, VA. The record was last updated on Jul 25, 2014.